An Unusual Complication With the Administration of a Volatile Anesthetic Agent for Status Asthmaticus in the Pediatric Intensive Care Unit: Case Report and Review of the Literature
| Autor: | Brittany L Shutes, W. Joshua Frazier, Joseph D. Tobias |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Methyl Ethers medicine.medical_specialty Adolescent Status Asthmaticus Intensive Care Units Pediatric Critical Care and Intensive Care Medicine Sevoflurane Hypercarbia Bronchospasm 03 medical and health sciences Extracorporeal Membrane Oxygenation 0302 clinical medicine 030225 pediatrics Intubation Intratracheal medicine Humans Sodium Hydroxide Intensive care medicine Pediatric intensive care unit business.industry Volatile anesthetic Oxides Calcium Compounds Treatment Outcome 030228 respiratory system Anesthesia Anesthetics Inhalation medicine.symptom Complication business Carbon dioxide absorber medicine.drug |
| Zdroj: | Journal of Intensive Care Medicine. 32:400-404 |
| ISSN: | 1525-1489 0885-0666 |
| DOI: | 10.1177/0885066617713169 |
| Popis: | In severe cases of status asthmaticus, when conventional therapies fail, volatile anesthetic agents remain a therapeutic option. When delivered outside of the operating room setting, specialized delivery techniques are needed to ensure the safe and effective use of volatile anesthetic agents. We present a 16-year-old adolescent with status asthmaticus who required the therapeutic administration of the volatile anesthetic agent, sevoflurane, in the pediatric intensive care unit (PICU). Although initially effective in reducing bronchospasm, progressive hypercarbia developed due to defective functioning of the carbon dioxide absorber of the anesthesia machine. This failure occurred as the soda lime compartment filled with water accumulated from circuit humidification and continuous albuterol therapy. The role of volatile anesthetic agents in the treatment of status asthmaticus in the PICU is discussed, options for delivery outside of the operating room presented, and potential problems with delivery reviewed. |
| Databáze: | OpenAIRE |
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